Loading...
122648CITY ATLANTIC BEACH 800 SEOF MINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-4445 KOPELOUSOS, BRADELY & GARRISON P.A. 1279 KINGSLEY AVENUE SUITE 118 ORANGE PARK FL 32073 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD NO. 122648 ATLANTIC BEACH, FLORIDA 32233-4445 INVOICE INVOICE PURCHASE PROJECT ACCOUNT AMOUNT NUMBER DATE ORDER NO NUMBER NUMBER 10356 01/29/2016 160105 001-1004-514-31-02 8, 000.00 GROSS RETAINAGE DISCOUNT NET 8,000.00 8,000.00 5115 KOPELOUSOS, BRADLEY & GARRISON P.A. s-Bank of America 63 4 NO 122648 CITY OF ATLANTIC BEACH Jacksonville, Florida 630 SEMINOLE ROAD Member FDIC 800ATLANSETIC BEACH,FLORIDA 32233-4445 VOID AFTER SIX MONTHS I i't AM4UIVT .VEN#OR'NUMSER PATE N 5115 02/03/2016 8,000.00 EIGHT THOUSAND AND 00/100 DOLLARS "******************************************* x x KOPELOUSOS, BRADELY & GARRISON P.A.NON-NEGOTIABLE** PAY 1279 KINGSLEY AVENUE AUTHORIZED SIGNATURE TO THE ORANGE PARK FL 32073 NON-NEGOTIALBE** ORDER OF AUTHORIZED SIGNATURE CITY OF ATLANTIC BEACH PURCHASE ORDERPURCHASING PHONE (904) 247-5880 FAX (904) 247-5819 P.O. NUMBER DATE 160105 10/16/15 THIS P.O.NUMBER MUST APPEAR ON ALL INVOICES PACKING SLIPS.LABELS.BILLS OF LADING AND CORRESPONDENCE VENDOR: SHIP TO: rr .i Y his KOPELOUSOS, BRADLEY & GARRISON CITY OF ATLANTIC BEACH 1279 KINGSLEY AVENUE ATTN: CITY MANAGER OFFICE SUITE 118 800 SEMINOLE ROAD ORANGE PARK, FL 32073 ATLANTIC BEACH, FL 32233 VENDOR# DATE NEEDED TERMS REQUISITIONED BY 5115 09/30/16 NET YCALVERLEY F.O.B CONTRACT NO.ACCOUNT NO. PROJECT REQ.NO. REQ.DATE RFP14-05 00110045143102 95652 10/02/15 LINE QUANTITY UOM ITEM NO.AND DESCRIPTION UNIT COST EXTENDED COST 1 12 . 00 MO PROFESSIONAL SERVICES — ANNUAL 8000.00 96000. 00 RETAINER SUB—TOTAL 96000.00 TOTAL 96 8/ 000 • OD I NOTICE I CERTIFY THAT THE ABOVE PURCHASE IS NECESSARY FOR THE PROPER OPERATION OF THE CITY OF ATLANTIC BEACH AND PLEASE SEND INVOICE TO: THE FUNDS ARE APPROPRIATED IN THE CURRENTT BUDGET CITY :OFACCOUNTSCOUNTS BEACH AtitAis#97 AtticATTN:A000UNTS PAYABLE CLERK 800 SEMINOLE ROAD PURCHASING AGENTATLANTICBEACH,FL 32233 THE LAWS OF THESTATE OF FLORIDA.U.S.A.SHALL GOVERN IN CONNECTION WITH THE FORMATION.PERFORMANCE.AND THE LEGAL ENFORCEMENT OF THIS PURCHASE ORDERFEDERALTAXID#59-6000267 STATE TAX EXEMPT#85-8012740083C-8 Kopelousos, Bradley & Garrison, P.A.ElKori iouso'.RRADII V GARRISON.r. 1279 Kingsley Avenue Al IORNI'\.,1.M% Suite 118 Orange Park,FL 32003 Phone: 904-269-1111, Fax: 904-269-1115 Invoice submitted to: Invoice # 10356 Atlantic Beach 800 Seminole Rd Invoice Date:01/29/16 Terms:COD Atlantic Beach,FL 32233 Services Thru:01/27/16 Date By Type Service Summary Hours/Qty Rate Amount In Reference To: Non Matter Related(Professional Services) 01/27/16 RCK Retainer Monthly retainer for January 2016. Flat 8,000.00 Total Labor: 8,000.00 Total Invoice Amount: 8,000.00 Previous Balance: 8,000.00 Payments/Adjustments: 8,000.00 Total Amount Due: 8,000.00 Payments/Adjustments Detail Date Transaction Type Description Amount 01/18/2016 Payment 8,000.00 PO # 4olos PA IAcct # Req Amount$ $ c FEB 0 3 26:0 FE301Z ',3 Approval I Date Z I l t CK # / .26y9 Approval(Date,.si?—-Z Approval I Date Approval 1 Date RECEIVED FEB 01 2016 A/P DEPARTMENT Page: 1 of 1